• 제목/요약/키워드: life-and-death problems

검색결과 133건 처리시간 0.03초

존엄한 죽음의 의미 (The Meaning of Dignified with Death)

  • 정복례;조영화
    • Journal of Hospice and Palliative Care
    • /
    • 제20권2호
    • /
    • pp.100-110
    • /
    • 2017
  • 목적: 본 연구는 우리나라 사람들이 인지하고 있는 존엄한 죽음의 의미를 참여자의 관점에서 있는 그대로 탐구하여 확인하고 기술함으로써 그 구조와 본질을 규명하기 위한 것이다. 방법: 현상학적 분석방법을 적용한 질적 연구로 본 연구의 참여자들은 연령대와 성별을 고려한 일반인으로 총 13명이었다. 자료수집은 참여자와 개별적 심층면담을 통해 이루어졌으며, 자료분석은 Colaizzi(1978)의 현상학적 분석방법을 이용하였다. 결과: 우리나라 사람들이 인지하는 존엄한 죽음은 4개의 범주와 9개의 주제모음 및 18개의 주제로 구조화할 수 있었다. 4개의 범주는 '편안한 죽음', '보기 좋은 죽음', '해결하고 죽는 죽음', '남긴 죽음'이었고, 9개의 주제모음은 '고통 없는 죽음', '자연에 순응하는 죽음', '흉하지 않은 죽음', '좋은 회상을 남기는 죽음', '원하는 방식으로 죽는 죽음', '주변을 정리한 죽음', '응어리를 풀고 가는 죽음', '잘 살고 죽는 죽음', '인정받는 죽음'이었다. 결론: 우리나라 사람들이 의미하는 존엄한 죽음은 고통 없이 편안하게 죽으면서 다른 사람에게 피해를 주지 않고 남아 있는 삶 동안 모든 일을 해결하고 가족을 포함한 다른 사람과의 관계 속에서 좋은 이미지로 남아야 하는 것으로 나타나 우리나라 사람들의 존엄한 죽음을 위하여 임종을 앞둔 대상자의 호스피스 간호에 적용할 수 있을 것이다.

Pediatric Severe Traumatic Brain Injury : Updated Management

  • Ha, Eun Jin
    • Journal of Korean Neurosurgical Society
    • /
    • 제65권3호
    • /
    • pp.354-360
    • /
    • 2022
  • Traumatic brain injury (TBI) is the leading cause of death and disability in children. Survivors of severe TBI are more susceptible to functional deficits, resulting in disability, poor quality of life, cognitive decline, and mental health problems. Despite this, little is known about the pathophysiology of TBI in children and how to manage it most effectively. Internationally, efforts are being made to expand knowledge of pathophysiology and develop practical clinical treatment recommendations to improve outcomes. Here we discuss recently updated evidence and management of severe pediatric TBI.

줄 앙리 푸앵카레

  • 김성숙;김주영
    • 한국수학사학회지
    • /
    • 제14권2호
    • /
    • pp.45-54
    • /
    • 2001
  • Jules Henri Poincare was great not only as a mathematician brit also as a philosopher of science. He received many honors for his outstanding research. He was elected to the Academie des Sciences in 1887 and was elected President of tile Academy in 1906. In 1908 he was elected to the Academie Francaise and was elected director in the year of his death. The Poincare Conjecture was selected Millennium Prize Problems fly The Clay Mathematics Institute of Cambridge, Massachusetts(CMI). The Board of Directors of CMI have designated a $1 million prize fund for the solution to his problem. In this paper, Poincare's major works, his life, his philosophy and the Poincare Conjecture are given.

  • PDF

대형교통사고 영향요인의 판별모델 구축에 관한 연구 -법규위반 유형을 중심으로- (A Study about Establishment of Discrimination Model of Impact Factors of Big Traffic Accident -With Laws Violation Type-)

  • 오윤표;고상선
    • 대한교통학회지
    • /
    • 제10권3호
    • /
    • pp.59-74
    • /
    • 1992
  • The change of industrial structure, the expansion of economic scale, the elevation of national life level and rapid motorization bring about social problems that are traffic accident, traffic congestion, etc. Especially, big traffic accidents bring about the great number of dead and wounded person with damage of property. But there are no study results available mainly focused on the big traffic accident analysis. Accordingly, this study is essentially for the factor analysis of big accident types including laws violation and the assaulting driver's death using Quantification ll method.

  • PDF

귀농과 농가 고령화: 귀농인구 유입에 따른 농촌 인구구조 변화 예측 (Returning Farmers and the Aging of Farm Households: Prospects of Changes in Rural Population by Their Influx)

  • 노재선;정진화;전지연
    • 농촌계획
    • /
    • 제19권4호
    • /
    • pp.203-212
    • /
    • 2013
  • The aging of farm households has caused serious problems such as productivity slowdown and aggravated income polarization in South Korea. Urban-to-rural migration has been recently suggested as a measure to attenuate the aging of rural population and other related problems. The inflow of migrants for farming can have a substantial effect on agriculture and rural communities while the natural adjustment of rural population caused by birth and death is slow. This paper forecasts population distribution of different provinces using the Origin-Destination (OD) analysis, taking into account both the size and directions of migration. In the analysis, nodes where the migration takes place are divided by the industrial sectors (agriculture and non-agriculture), regions, and ages. The results of a ten-year forecast shows that the aging of total population in most provinces will be intensified, but the portion of people over sixty will decrease in the agricultural sector. This finding implies that migration into rural areas, when occurring by a large extent, can mitigate the aging process and attendant problems.

Centralized Clustering Routing Based on Improved Sine Cosine Algorithm and Energy Balance in WSNs

  • Xiaoling, Guo;Xinghua, Sun;Ling, Li;Renjie, Wu;Meng, Liu
    • Journal of Information Processing Systems
    • /
    • 제19권1호
    • /
    • pp.17-32
    • /
    • 2023
  • Centralized hierarchical routing protocols are often used to solve the problems of uneven energy consumption and short network life in wireless sensor networks (WSNs). Clustering and cluster head election have become the focuses of WSNs. In this paper, an energy balanced clustering routing algorithm optimized by sine cosine algorithm (SCA) is proposed. Firstly, optimal cluster head number per round is determined according to surviving node, and the candidate cluster head set is formed by selecting high-energy node. Secondly, a random population with a certain scale is constructed to represent a group of cluster head selection scheme, and fitness function is designed according to inter-cluster distance. Thirdly, the SCA algorithm is improved by using monotone decreasing convex function, and then a certain number of iterations are carried out to select a group of individuals with the minimum fitness function value. From simulation experiments, the process from the first death node to 80% only needs about 30 rounds. This improved algorithm balances the energy consumption among nodes and avoids premature death of some nodes. And it greatly improves the energy utilization and extends the effective life of the whole network.

증산계 신종교와 유교, 도교의 죽음관 비교 (Comparison of perspective on death accepted by New Religions of Jeungsan, Confucianism and Taoism)

  • 신진식
    • 한국철학논집
    • /
    • 제58호
    • /
    • pp.201-243
    • /
    • 2018
  • 한 종교의 죽음에 관한 이론을 살피는 작업은 바로 그 종교의 정체성과 그 특징을 읽어내기 위한 필수불가결의 과정이다. 또한 죽음관을 살펴보는 일은 인간 자신의 실제적인 삶의 문제에 종교가 어떻게 직접적으로 영향을 미치며 관여해 왔는지, 또 관여하고 있는지, 앞으로도 어떻게 관여할 것인지, 그 중요한 단초를 보여준다는 점에서도 의미가 크다. 이 연구에서는 증산계 신종교의 죽음관과 유교, 도교의 죽음관을 비교 분석해보았다. 이들 간의 죽음관의 비교를 거쳐 증산계 신종교와 유교, 도교의 죽음관의 유사성과 차이점을 드러내 보고자 하였다. 이를 통해 증산계 신종교의 종교적 특성과 정체성을 밝히고, 아울러 사회적 역할과 기능을 확인하는 것이 이 연구의 목적이다. 증산계 신종교는 인간이 사후에 어떻게 된다고 보는가? 이 물음은 사후에 인간이 어떤 모습으로 존재하게 되는지? 사후에도 동일한 정체성을 유지하는지? 가족과의 관계가 어떻게 되는 것인지? 어떤 일을 하게 되며 어떤 일을 겪게 되는 것인지? 윤회 또는 환생을 하는지? 등의 여러 문제를 함축한다. 이를 하나씩 유교 도교와 비교하여 살펴보았다. 이 연구는 기본적으로는 비교종교학적 방법으로 진행되었다. 죽음에 대한 설명은 죽음을 대면하는 개인의 심리적 의식을 해명하는 심리학적 층차, 인간 개념에 대한 철학적 이해를 통해 죽음을 해명하는 철학-종교적 층차, 죽음을 처리하는 사회적 의례의 분석을 통해 죽음의 사회문화적 의미를 해명하는 사회학적(문화론적) 층차 등 세 층차에서 살펴볼 수 있다. 이 논문에서는 유교와 도교 그리고 증산계 신종교의 죽음관에 대해 철학적 층차에 중점을 두면서 문화론적 의미도 함께 비교 검토해보았다. 증산계 신종교 죽음관을 이해하는데 있어서 그것을 구성하는 핵심 요소들인 혼(魂), 백(魄), 신(神), 영(靈), 선(仙)에 대한 설명이 필수불가결하다. 증산계 신종교의 죽음관에는 수용과 극복이라는 중층성이 있다. 이 연구에서는 유교 도교와의 비교를 통해 이들 선행연구의 문제점과 한계점들에 대한 보완 작업을 시도해 보았다. 이러한 과정을 통해서 증산계 신종교 죽음관의 핵심적 요소들을 좀 더 분명히 드러내 보이고자 하였고, 그 특징을 하나하나 밝혀내 보고자 하였다. 이와 같은 죽음관에 대한 좀 더 선명하고 체계적인 논의를 바탕으로 앞으로 죽음의례, 시신 처리, 장례 문제, 죽음 교육, 안락사, 자살 문제를 포함하는 임종의 문제, 지옥의 문제, 죽음을 맞이하는 사람의 심리 문제, 개벽시대 죽은 이들의 부활 문제 등을 논점으로 해서 증산계 신종교 죽음관의 내용들을 좀 더 구체적으로 더 추출할 수 있게 될 것이다.

우울증 환자에서 외상 사건 경험과 주관적 수면 문제의 특성 (Subjective Sleep Problems of Depressed Patients with Different Types of Life-Time Traumatic Stress Events: An Explorative Study)

  • 김민섭;허휴정;채정호
    • 대한불안의학회지
    • /
    • 제12권1호
    • /
    • pp.21-27
    • /
    • 2016
  • Objective : The aim of this study was to investigate the relationship between subjective sleep problems and various types of traumatic events of patients with depressive disorder. Methods : A total of 411 patients diagnosed with depressive disorders were recruited in this study. The participants filled out Life Time Events Checklist (LEC), Pittsburgh Sleep Quality Index (PSQI), Beck Depression Inventory (BDI), and State-Trait Anxiety Inventory (STAI). We used the independent t-test and analysis of covariance to compare each component of PSQI between depressive patients with and without traumatic experiences. Results : The groups of patients who experienced a serious accident at work, home or during recreational activity, sexual assault, other unwanted or uncomfortable sexual experience, life-threatening illness or injury, and sudden, unexpected death of a near and dear one showed lower scores in a few components of PSQI. Sleep disturbance was a common problem in all five groups. Lower subjective sleep quality and longer sleep latency was observed in three groups. There were no differences in the other components of PSQI among groups. Conclusion : This study showed that various types of traumatic events may have different effects on subjective sleep quality as a consequence of the traumatic event which they had experienced.

  • PDF

낙동강 남부지역의 상례문화 실태 조사 - 부산의 교사집단을 중심으로 - (Customary Funeral Rites of Teachers in the Southern Nak-dong River Area)

  • 이기숙
    • 가정과삶의질연구
    • /
    • 제22권5호
    • /
    • pp.133-147
    • /
    • 2004
  • Korean funeral customs are an important part of the mourning process in Korea. A survey was conducted in the southern part by the Nak-dong river, centered around the city of Busan to examine Korean funeral rites. This study was conducted with survey research. The target population included 234 teachers and experienced the death of a family member within the last three years. Results showed that they presented their condolences 5 to 6 times on average per year. Funeral rites were performed usually at a hospital funeral hall. The preference of burial to cremation was about the same. According to the survey, funeral expenses averaged 9,570,000 won and donations received for funeral expenses, 12,630,000 won. Problems the respondents expressed about the process included large funeral expenses, the decision whether to bury or cremate, and fatigue from staying up all night. When classified according to the demographic characteristics, there were significant differences in the variables. Frequency of attending funerals depended on gender, age, and health status. Condolence style depended on religion. The type of funeral (burial or cremation) depended on family income. The type of reception depended on gender. Funeral expenses depended on the age Second, in the process of preparing for a family member's death, they thought it was important to prepare a funeral ceremony portrait of the deceased and a scroll by themselves, and the preparation

치료중단행위에 대한 의료형법적 고찰 -의학적 충고에 반한 퇴원 사례를 중심으로- (A Study on Medical-criminal Problem of Withdrawing Life-Sustaining Treatment)

  • 조인호
    • 의료법학
    • /
    • 제9권1호
    • /
    • pp.319-382
    • /
    • 2008
  • As a withdrawing care's study, the purpose of this study is searching about withdrawing care's acceptance and circumstances through Bora-mae hospital case(chapter 1). Withdrawing life-sustaining treatment has various forms. Though the meaning of euthanasia, death with dignity, natural death, physician assisted suicide are duplicated, the meaning of those are different slightly. Firstly, this study looks about the difference of the those meaning and acceptance range(condition) by withdrawing care's forms(chapter 2). Bora-mae hospital case sentenced guilty about physician who discharged incompetent patient who was after surgery by patient's wife determination. This Bora-mae case that sentenced guilty about discharge against medical advise(DAMA) that is regarded to custom has brought intensive confliction of legal, social, medical aspect, Bora-mae hospital case has many legal problems. First, as to criminal law rule 250(murder), the problem is whether discharge and withdrawing life-sustaining treatment is commission or omission. this study concluded omission(district court: omission, appeal, supreme court: commission). Because legal denounce point of discharge and medical treatment withdrawing is omission that physician who is obligatory on patient to cure. If physician's act is regarded omission, it is necessary to determine whether he has guardian status and obligation. Without guardian status and obligation, omission crime can't exist. This study decided that physician had guardian status and obligation and foundation of guardian status was pre-action or acceptance of emergency patient. Physician's medical treatment duty finished when patient(or patient's guardian) demands discharge. But when patient death is foreseen and other possible treatment does not exist, his duty of life prolonging treatment does not finish. This originate from physician's social responsibility and public status that limits patient's private liberty. This study regarded physician's action as accomplice about whether physician's discharging action is accomplice or the principal offender(district court: the principal offender, appeal, supreme court: accomplice). Though the principal offender needs criminal determination and action, there is no this common determination and functional action control of physician in Bora-mae case(chapter 3). Bora-mae hospital case partly originated from deficiency of legal, institutive system including medical security system shortage, the instruction is 1. medical security system strengthening, 2. hospital ethical committee's activity strengthening, 3. institutionalization of withdrawing life-sustaining treatment, 4. acceptance of pre-decision making system, 5. sufficient persuasion of physician for patient and faithful writing of medical paper, 6. respect for patients' self-determination and rights, 7. consciousness's changing for withdrawing life-sustaining treatment and persistent education about medical ethics(chapter 4). Considering Bora-mae case, medical sector is not the dead ground of a criminal punishment. Intervention of criminal law in medical sector give rise to ill effect, that is, excess medical examination and treatment, safeguard treatment, delay of discharge from a hospital. Because sufficient guarantee of life becomes mere empty slogan under situation that impose a burden of heavy cost to family or hospital, public and systematic solution should be given(chapter 5).

  • PDF